MR. BRIAN ERIC BOUTILIER (NPI# 1255320230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255320230 |
| Entity Type | Individual |
| Full Name | MR. BRIAN ERIC BOUTILIER |
| Practice Address |
19 Hodskin St Canton NY 13617-1175 |
| Practice Telephone | 3153790992 |
| Practice Fax Number | 3153700993 |
| Mailing Telephone | 3153790992 |
| Mailing Fax Number | 3153700993 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2008-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 018314-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19 HODSKIN ST |
| City | CANTON |
| State | NY |
| Zip Code | 13617-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255723631 | Homemakers of Western New York | Home Health | 19 Hodskin St, Canton, NY 13617-1175 | 2015-02-23 |
| 1265709513 | Stacy Soper | Licensed Practical Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2011-11-30 |
| 1295017432 | Joseph St Denis | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2011-09-14 |
| 1780817643 | Christopher David Towler | Physical Therapist | 19 Hodskin St, Canton, NY 13617-1175 | 2009-08-26 |
| 1740307156 | Debra Theriault | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-03-23 |
| 1477697019 | Elizabeth Chapman | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-02-16 |
| 1710029590 | Tina Hanna | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-02-12 |
| 1033251848 | Bridget Hurlbut | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-02-12 |
| 1770514036 | Brittany M Delisle | Physical Therapist | 19 Hodskin St, Suite 1, Canton, NY 13617-1175 | 2006-07-05 |
| 1811974082 | William Rodolfo Pena | Physical Therapist | 19 Hodskin St, Ste 1, Canton, NY 13617-1175 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548589 | Dipal Patel | Physical Therapist | 4063 Pond Run, Canton, MI 48188-2176 | 2020-11-04 |
| 1538775713 | Elango Kaliamoorthy | Physical Therapist | 2456 Premier Ln, Canton, MI 48188-2556 | 2020-09-22 |
| 1861004921 | Abdul Wahid | Physical Therapist | 46547 Inverness Rd, Canton, MI 48188-3051 | 2020-08-20 |
| 1114539582 | Kristin Renae Ferrell | Physical Therapist | 276 Nissan Pkwy Ste 100, Canton, MS 39046-7006 | 2020-08-18 |
| 1396356176 | Specialized Physical Therapy LLC | Physical Therapist | 49783 Annandale Dr, Canton, MI 48187-2159 | 2020-08-13 |
| 1386253722 | Swati Mistry | Physical Therapist | 45521 Morningside Rd, Canton, MI 48187-5612 | 2020-07-30 |
| 1386252427 | Cardinal Medical Rehabilitation LLC | Physical Therapist | 3745 Whipple Ave Nw Ste B, Canton, OH 44718-4805 | 2020-07-15 |
| 1013537901 | Rebecca Ann Allen | Physical Therapist | 4647 Yale Ave Nw, Canton, OH 44709-1463 | 2020-04-20 |
| 1922627769 | Badal Arora | Physical Therapist | 49457 Lansdowne St, Canton, MI 48188-3445 | 2020-04-12 |
| 1215562178 | Reclaim Physical Therapy, LLC | Physical Therapist | 1016 Lower Union Hill Rd, Canton, GA 30115-8419 | 2020-03-10 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.